Organization
HARDCORE SUPPORT SERVICES, INC.
Active
Other names
Hardcore Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ANDREAS ROLLE BCABA (DIRECTOR OF BEHAVIORAL SERVICES)
(772) 293-9734
Entity
Organization
Contact information
Practice address
4502 SW FLORAL ST, PORT ST LUCIE, FL 34953-7621
(772) 293-9734
(863) 223-2089
Mailing address
4502 SW FLORAL ST, PORT ST LUCIE, FL 34953-7621
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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